Individual
ANNA GUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
80 STANLEY AVE, MEDFORD, MA 02155-5618
(508) 641-5043
Mailing address
80 STANLEY AVE, MEDFORD, MA 02155-5618
(508) 641-5043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122721
MA
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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